Individual
SEAN SIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7602 BELAIR RD, BALTIMORE, MD 21236-4088
(410) 661-3338
(410) 663-6984
Mailing address
6030 MARSHALEE DR STE 212, ELKRIDGE, MD 21075-5987
(410) 661-3338
(410) 844-4777
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
01274
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480002770
MEDICARE RAILROAD
MD
05
—
548128700
—
MD
Enumeration date
03/26/2007
Last updated
10/29/2024
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